Martine Liliane Van Milders, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012650 Issued in NY

Practice address

1841 Broadway
4TH Floor
New York, NY 10023-7603

Phone

(212) 541-8196

Fax

(212) 333-5444

NPI assigned

Sep 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1134314867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 JOHNSTON DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696409",
            "telephone_number": "908-727-2700",
            "fax_number": "908-757-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 BROADWAY",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237603",
            "telephone_number": "212-541-8196",
            "fax_number": "212-333-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MILDERS",
        "first_name": "MARTINE",
        "middle_name": "LILIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Van Leeuwen, OTR
• Anna Van Meter, PH.D.
• Charles Brian Van Meter, PT
• Daniel Van Meter, PHARM.D.
• Nicolas M Van Mieghem, M.D.
• Orli Holmes Van Mourik
• Nicole Anne Van Nortwick, PHD
• Oliver Van Oekelen, MD
• Kenneth Van Ora, PA-C
• Melanie Van Orden, LCSW

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.